Pipestave Hill Horse Trials Entry Form
JUNE 2026

Pipestave Hill Horse Trials Entry Form - JUNE 28

Rider's Information

Riders Name
Riders Name
First Name
Last Name
Rider Age Category
Address
Address
City
State/Province
Zip/Postal

Emergency Contact Information

Please provide someone who will be on site during the show.
Emergency Contact's Name
Emergency Contact's Name
First
Last

Horse Information

I will be riding more than one horse

Maximum file size: 18.87MB

Horses must be up to date on rabies/flu rhino vaccinations. Type "YES" to indicate horse is up to date.
Horse Gender

NON-MEMBERS: Choose Division

3 PHASE Division ($145.00)
2 PHASE Division (Combined Test) ($90.00)
Dressage Only ($35/test) (max of 3 tests) (20m x 40m arena)

MEMBERS & VOLUNTEERS: Choose Division

$10 Discount on 3 Phase Entry available to all members and volunteers who have helped out in the current (2026) season. Volunteers - please identify your volunteer hours in the "special requests" field below.
3 PHASE Division ($135.00)
2 PHASE Division (Combined Test) ($90.00)
Dressage Only ($35/test) (max of 3 tests) (20m x 40m arena)

Liability Waiver

Please note that while we no longer require medical armbands, riders with pre-existing medical conditions or allergies are strongly encouraged to wear an armband or medical bracelet. Please type YES to indicate you are aware.

Manual Payment

Payment Information

$
Payment total includes a $5.00 processing fee
Cardholder Name
Cardholder Name
First
Last
Cardholder Address
Cardholder Address
City
State/Province
Zip/Postal
Card Information